340B Drug Pricing Program Database

Name

3RD STREET COMMUNITY CLINIC

Subdivision Name

Shelby OB/GYN

Type

HRSA-Funded Health Center

Site ID

BPS-H80-017242

340B ID

CH05711F

Grant Number

H80CS00581

Current Program Status

Terminated

Registration Date

4/6/2016

Participating Start Date

7/1/2016

Participating Approval Date

4/8/2016

Last Recertification Date

2/9/2018

Termination Date
Termination Reason

1/1/2019
Business decision by the Covered Entity

Authorizing Official

Third Street Family Health Services
Brett Toward, Interim CEO
(419) 526-7880

Primary Contact

Third Street Community Clinic
Mary Heflin, Director of Population Health
(419) 526-7879

Street Address

199 W. Main St 2nd Floor
Shelby, OH 44875

Billing Address
Same as Street Address